Larynx and Airway
- Halstead LA (Med Univ of South Carolina, Charleston)
Gastroesophageal Reflux: A Critical Factor in Pediatric Subglottic Stenosis
Otolaryngol Head Neck Surg. 120: 683-688, 1999
Gastroesophageal reflux (GER) is recognised as a factor in development of subglottic stenosis (SGS). The aggressive diagnosis and treatment of GER on the clinical course of 35 infants and children with SGS was examined.
Aggressive treatment for GER avoided endoscopic repair in 35% of patients. It also dramatically reduced the number of procedures in failed endoscopic repair of SGS. Use of pharyngeal probe was instrumental in the diagnosis of GER in 33% of patients. Although GER may occur in young infants with SGS because of perioperative stress, there is a subgroup of premature infants in whom GER persists.